COVID-19 Information for Members
As the COVID-19 pandemic continues to evolve, your health and well-being remain our top priority. See below for information on topics related to COVID-19 including vaccine, treatment, and testing coverage, prescription refills, and telemedicine options.
For up-to-date information on COVID-19, including vaccines and safety guidance, visit the Centers for Disease Control (CDC) website, the New York State Department of Health, or the Vermont Department of Health.
COVID-19 Frequently Asked Questions
Does my health plan cover the COVID-19 vaccine?
Yes, the COVID-19 vaccine is covered under all MVP health plans and is free for all MVP members. There is no co-pay and $0 cost-share when you get the vaccine.
MVP strongly encourages you to get the vaccine once it is available to you.
Is the COVID-19 vaccine safe?
Yes, the COVID-19 vaccine is safe. Vaccines are only given to the public once they are considered safe and are approved by the Food & Drug Administration (FDA). Scientific data—including effectiveness and safety across ethnicities—from the COVID-19 clinical trials has been reviewed by the FDA and a separate independent advisory body, the Advisory Committee on Immunization Practices (ACIP). Learn more about the COVID-19 vaccine.
How can I get the vaccine?
Everyone age 12 and older is eligible for the COVID-19 vaccine. Many locations, including state-run vaccine sites and pharmacies, offer walk-in vaccinations (no appointment necessary). Find a COVID-19 vaccine near you.
Are adverse reactions to the vaccine covered?
Yes. Treatment for any adverse reactions is medically necessary and covered by MVP. Members should refer to their schedule of benefits or call the Customer Care Center at the number located on the back of their MVP Member ID card for cost share information. Cost share is dependent upon place of service.
If I’ve already had COVID-19 and recovered, should I still get the vaccine?
Yes. Even if you had COVID-19 and recovered, re-infection is possible, although rare.
If you were treated for COVID-19 with monoclonal antibodies or convalescent plasma, you should wait 90 days before getting a COVID-19 vaccine. Talk to your doctor if you are unsure what treatments you received or if you have more questions about getting a COVID-19 vaccine.
Testing and Treatment
Does my health plan cover COVID-19 testing?
MVP covers the cost of COVID-19 testing at no cost share for members who have been exposed to COVID-19, or who have symptoms. MVP does not cover COVID-19 tests performed solely to assess health status, even if required by parties such as government/public health agencies, employers, common carriers, schools, or camps, or when ordered upon the request of a member solely to facilitate the member’s desire to self-assess COVID-19 immune status.
The Centers for Medicare and Medicaid Services (CMS) require that members of Medicare MSA plans who have not reached their deductible limit pay costs related to COVID-19 testing.
There are two kinds of tests available for COVID-19.
Antibody tests detect whether a person has had a COVID-19 infection some time in the past. Antibody tests may not show if you currently have a COVID-19 infection. A lab-based viral test will tell you if you currently have COVID-19. It is not clear from current science whether testing positive on an antibody test offers protection from COVID-19 in the future.
Viral tests detect whether a person has (or had) an active infection at the time the test is taken. Typically, these tests are used by people who have symptoms or believe they may have been exposed to the coronavirus recently. If you test negative on a viral test, that does not mean you can’t get sick in the future. If you test positive on a viral test, visit the CDC’s website for advice on caring for yourself and others.
People in need of a COVID-19 test often seek out a health care provider or facility that offers rapid testing. Rapid tests give results within the same day of testing, sometimes as quickly as 30 minutes. However, be aware that rapid tests have a high false negative rate, meaning you may have COVID-19 despite a negative rapid test result. Rapid tests are recommended only for symptomatic individuals.
If you are symptomatic and have a negative rapid test, you should get a lab-based viral test to confirm that you are negative. Lab-based test results come back within 3-5 days but are more accurate.
Does my health plan cover treatment for COVID-19?
MVP will cover COVID-19 treatment at no cost-share to the member for most MVP Commercial health plans in New York through July 30, 2021, and for most Commercial health plans in Vermont through March 1, 2022. Self-funded plan members should check with their employer to see if they have adopted the waived cost-share guidance.
MVP covers COVID-19 treatment at no cost-share for MVP Medicare and Medicaid health plans.
Routine Health Care
What options do I have for receiving health care?
It is important to see your doctor for routine check-ups, screenings, and immunizations. Doctors have made changes to their offices to help keep patients and staff safe. Some of those safety measures include temperature checks, sterilizing surfaces, and screening everyone for COVID-19 symptoms.
Additionally, many provider offices offer telemedicine, or virtual visits. Telemedicine allows you to speak with your doctor over the phone or via video. Most of what happens during an in-person visit can be done by telemedicine. You and your doctor can discuss:
- Your overall health and lifestyle
- Any screenings or immunizations you may need
- Behavioral health concerns (includes mental health and substance use disorders)
Learn more about Gia®, offering access to MVP’s FREE telemedicine services and health information you can trust.
How can I manage feelings of stress and anxiety?
If you are feeling worried, stressed, or anxious, there are resources and health care providers who can help. Visit the CDC website for information on stress and coping during COVID-19. If you are looking for a behavioral health provider, use MVP’s Find a Doctor tool to search for a provider who participates in your MVP plan.
You may also connect virtually with a behavioral health professional by using myVisitNow. This benefit lets you speak with a health care professional using a computer with a webcam, tablet, or smartphone.